Strength and Balance Commenced Within 16 Weeks of Fracture
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients initiating an evidence-based strength and balance class within 16 weeks of the date of fracture according to regional or national guidelines.
Numerator
Number of patients initiating an evidenced based strength and balance class within 16 weeks of the date of fracture according to regional or national guidelines
Denominator
Number of patients with a falls assessment performed, recommended, referred for less those already under falls service minus patients who have died
Exclusions
The numerator specifically only includes evidence-based strength and balance exercise classes that have been shown to reduce falls risk, characterised by group and home classes with progressive resistance training. The denominator was selected as patients who could be eligible for strength and balance classes and should be interpreted with KPI 5.
Use of Risk Adjustment
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Extracted from FLSDB
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Javaid MK, Sami A, Lems W, Mitchell P, Thomas T, Singer A, et al. A patient-level key performance indicator set to measure the effectiveness of fracture liaison services and guide quality improvement: a position paper of the IOF Capture the Fracture Working Group, National Osteoporosis Foundation and Fragility Fracture Network. Osteoporos Int. 2020;31(7):1193-204.
Technical Specifications
Original paper. link.springer.com/article/10.1007/s00198-020-05377-1